DANIEL SHALEV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

DANIEL

Last Name

SHALEV

Suffix

Business Name

DANIEL SHALEV MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006